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7 <br /> p"'_h � a <br /> NOTiCE OF DEED RESTRICTIONS: The undersigned unders�tands::th�t this:,p�r:mit:may.be,subJect to;"deed",reStNctlons" <br /> which may:be�more`�rest�ictive�than Gounty��r"egulations:=TFie-und`er"elgned'�assur'ries'r'esponsitiility�for�compliance witf�'any` <br /> appflcable�deed resnictions. � � � <br />� UNLICENSED�_CONTRACTORS AND CONTRACTOR RESPONSIBILITiES: --If the owner has �hired �a�contractor or <br />'� contractors to undertake work, they may,be.;cequired.;to;be;ltcensed in accordance.with state.and•local regulations.- If�the <br />�� contractor,.ts�not:licensed as cequlredAtiy law, both the ovmer and-confracto�=may be-cited-for�a-mtsdemeanor violation <br />' under state law. If the owner or intended�.contractor,�are uncertain as to what Iicensing.requlrements.may.apply.;for the <br /> . .,. <br />� intended work, they are advised to�contact the Pasco County Building-In"spection Dlvlsfon-L(censtng Section at 727-847- <br /> 8009. Fu�thermore, If the°owner has�hired a contracto�o��aontractors. he ts adirised to have the contractor(s), sign � <br />� portions of the "contractor Block" of this appllcatlon for which they will be r.esponsible. If you�-as.#he owrier'sfgn�as the ; <br />; contractor, thatmay�be-an indication that�he is not.properly Hcensed and-is not entitled to permftting privileges in Pasco ; <br />� County. - ' . . ' _. _._ i <br />�, TRANSPORTA710N�IMPACTIUTILITIES-IMPAC'I'ANb-RESOURCE RECOVERY•FEES;��The undersigned understands � <br /> that Transportatfon Impact Fees and.Recourse Recove.ry.Fees may�;apply�,to�the construction,of new bulldings,�change of � <br /> use in existing buildings;Wor..expanslon�of-�ezistin�g:�butldings� as speclfled.in Pasco County Ordinance number 89-07 and ; <br /> 90-07, as amended..The undersigned also:understands, tha�t:�such fees��.as�tnay.be�.due;;:wlll,.be identified at the�tirrie-of - '� <br /> permitting. It is fu'rtHer understood that Transportation Impacf Fees and Resource Recovery��Fees must be paid prior to ; <br />' rece�ving a °certificate.of occupancy" or flnai power-release. :If Ehe proJect.does.not involve:a;certificate of occupancy o� - � <br /> final power release;•the.fees-must be paid prior to permlt issuance. Ft�tthermore;-if Pasco County�lNater/Sewe�r impact ; <br /> fees are due,_they�.must.be�pald.prior to,permit�issuance-In accordance with applicable Pasco County-o�dinances. <br /> CONSTRUCTION LIEN'I:AW�(Chepter 713, Florida Statutes,as amended): If valuation of work is$2,500.00:or more, I - � <br /> certify that I, the applicant, have.been provided with a copy� of the "Florida ConsVuction� Llen .Law�.Homeowne�'s � <br /> Protectfo� Guide" prepared by the Florida Departme�t of Agric.ulture and ConsumerAffairs. if the applicant is someone , <br /> other than the°owner", I certify that I have.obtained a copy.of the.above..rlescribed docu�ent°and.ptomise in,good faith.to <br /> deliver It to the"owner".prlor to>commencemerit: • , <br /> CONTRACTOR'SIOWNEEt'3 AFFIDAVIT: I.ce�tify:.that.all the•Information�in_this appHcation is-accurate and that all work <br /> will'be done in compliance with all applicable laws regulating construction� zoning and land development. Application is � <br /> hereby made to obtatn .a permit.to do_work and installation as indicated:•� °I certffy that no work or installatton has <br /> commenced p�for to issuance of'a permit`and that.all work will be pertormed to meet standards of all laws regulating- � <br /> construction, County and City codes, zoning regulatlons, and land development regulatlons�in the jurisdiction. ( also <br /> certify that I understand that the regulatlons of other government agencies may�apply�to the intended work, and that it is <br /> my responsibility to identify.what�ct(ons I must take:to be=ln:.corrlpllance: S.uch agencies.include but-are..not Ilmited to: <br /> - Departmenf of Environmental�Protection-Cypres"s.Bayhead�, Wetland Areas and Env(ronmentally Sensitive ` <br /> Lands, WateNWastewater Treatment. ' <br /> - � Southwest Florida Water Management .-Distr(ct-Wells, Cypress. Beyheads�, Wetland Areas, Altering ; <br /> Watercourses. , � ,; <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ' <br /> - Department of Health & RehabiNtative Services/Environmental Health Unit Wells�_Wastewater=Treatment, <br /> Septic Tanks: � � _ , , <br /> - US Environmental Protection Agency-Asbestos abatemen�...'• � • <br /> I� - Federal Avlatlon Authortty-Runways. � � � � . ; . , <br /> I understand that the following restrictlons apply to the use of flll:• , <br /> - Use of fill Is not allowed in Flood Zone°V"unless expressly permitted. <br /> - If the flll materlal: is to be used. in �Flood Zone. "A", It. (s under`stood that�a dralnage plan addressing a <br /> "compensating volume" wil) be subm(tted at time of permitting which (s prepared by a professional engineer <br /> Ilcensed by theState of Florida. ' <br /> - If the flll material_:is�:to be used In Flood Zone.°A" in�connectfon�with.a permitted building using stem wall • <br /> construction, I certify that fiil�:wall=b.e used only.to.flll the area within the�stem�wall. <br /> - If fill material is--to�=tie used in any area, I �certify that .use. of�suah-flll will not adversely affect adjacent <br /> i; <br /> properties. If use of flll ls found to adversely..�ffect ad)acent�propertles,.the owner may be cited for violating , <br /> the conditions of the tiuildfng:permit issued under the:at�ached pecmit-application, for.lots less than.one (1) <br /> acre whtch are elevated by flil, a�►engineered drainage pian is required. . _ ;; <br /> If I am the AGENT FOR THE OWNER; I;�promise In good fatth to inform the owner of-the:permitting conditlons set forth in ;; <br /> this affidavit�prfor to commencing construction: I understand that a�separate permit may be required for electrical work, • '� <br /> plumbing, signs, wells, pools; air condttiontng,.gas, o�'otMer installatlons not,specifically included-in.the application. .A �' <br />� permit issued shall be construed to be a°Iicense to proceed with ttie work and not as�authority to,violate,-cancel, alter, or ; <br />� set aside any provisions of the technical codes; nor shall tssuance�of a permit.pcevent the Bulldirig Offic(al from thereafter � <br />' requirin a correctton.nf errors In. lans, construction or vlolations of an codes._ Eve `` <br /> 9 p y ry permtt issued shall-become invalid ;; <br /> I unless the work authortzed by such permit-ls-commenced�wtthln six months of permit issuance, or If work authvrized by ' <br /> I the permit is suspended or.abandoned for a:period;of�six{8)montFis after the tirne the�wofk�(s commenced..An extensfon ' <br /> I may be requested, In writing, from the Build(ng,Official for a peNod.not to exceed nlnety�(90)�days a�d will�demonstrate �; <br /> �ustifiable cause'for.the extension. If work ceases:for ninety.(90)consecutive�days,..th�Job is conside�ed abandoned.�� ;.f <br /> - . � �, <br /> WARNING TO OWNER: Y�UR.FAILURE�TO.,REC.OttD.A.NOTIGE OF•COMMENCEMEMT�MAY RE�UlT IN�YOUR � <br /> PAYING TWICE FOR IMPROV_EMENTS TO YOUt�:PROPERTY.-IF°YOU�INTEhID'TO'OBTAIN��FINtANC1NG;�CONSULT i' <br />-:'�aFH�70�lR�L-@�D��R-OR-A��-A7TmRN�Y��i�OR��63E�OR�9R9G Y0U�Y9�.�'PICE'O�'CORSJFa7@NC�IMENT�------ - - _ ---- -— - <br /> FLORIDA JURA'�(F.S.11 03) � �� <br /> DWNER OR A(iEN • ��- dD� � CONTRACTOFt 1(a���Y"7�`� �«%"" <br /> 3ubs,crlbed nd swom to(or a rmed)before me thls Subscribq and'swo -to ot affl�ed)'before me'tFiik <br /> 3-z- y „ L 7 �-�Z=1�� �o��/u.r G= �/-�z�J <br /> Nho is/are e nally kno to-me or hasR�ave produced Who.ls/are ersona �cnown me or has/have•produced <br /> as Identlflcatlon. as IdenBBcation. <br /> � --"TQ�tery Public /l' .� � Notary Public <br /> �ommissl n N . •� • Commissl n o. :.���'�'r�e4�; JACQ L1NE BOGES � <br /> ,•�o'���PY&'�•: �AC�U s'lotl#Ff 150422 :�r �o*,: Expires December 12,2018 <br /> •�c•..•pP�• <br /> Vame of Notary � rl �i�p�lp� ��ea04�5jp19 Name of Notary type <br /> :�: �� Fainln:wx • ' � <br /> `'` Bonded7lwTmY <br /> �':�pf��'`` . <br />